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1477114304
LETICIA G VALLEJO
FOND DU LAC, WI
NPI
1477114304
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: WI 3753-57)
Enumeration Date
2019-06-21
Last Update Date
2021-01-18
Business Address
LETICIA G VALLEJO PhD
430 E DIVISION ST
FOND DU LAC, WI 54935-4560
Phone number: 920-926-4200
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Mailing Address
LETICIA G VALLEJO PhD
5627 S 25TH ST
MILWAUKEE, WI 53221-4219
Phone number: 414-625-0261
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